• 제목/요약/키워드: Emergency Nursing

검색결과 779건 처리시간 0.024초

병원 종사자의 성 역할 정체감과 성 고정관념이 남자간호사에 대한 편견에 미치는 영향 (The Effects of the Gender Role Identity and Gender Stereotypes on the Prejudice Against Male Nurses of Hospital Workers)

  • 최주희;장철훈;김성수
    • 한국콘텐츠학회논문지
    • /
    • 제18권12호
    • /
    • pp.75-91
    • /
    • 2018
  • 여성이 대다수인 간호전문직에 남자간호사가 점차 증가하고 있으나, 그들은 성 고정관념에 따른 사회적 장벽에 부딪히며, 부서배치 등에서 차별을 경험하고 있었다. 본 연구는 병원 종사자들을 대상으로 성 역할 정체감과 성 고정관념이 남자간호사에 대한 편견에 미치는 영향을 확인하기 위하여 시도되었다. 연구 결과 양성성 집단은 성 고정관념과 남자간호사에 대한 편견이 다른 집단에 비해 낮았으며, 병원종사자들은 남자 간호사들이 일반인들에게 낯설고 생소하며, 응급실, 중환자실, 수술실 같은 병원의 특수 부서에서 주로 일할 것이라는 편견을 가지고 있었고, 성 고정관념은 남자간호사에 대한 편견에 양의 상관관계가 있었다. 따라서 의료기관은 남자간호사에 대한 편견을 해소하기 위해 양성 평등적인 조직문화를 구축하기 위한 계획을 수립하여 성 고정관념을 탈피하기 위해 노력하고, 간호조직 내에서 남성과 여성이 동등한 기회를 부여받을 수 있도록 해야 할 것이다.

보건계열 학생의 환자안전 지식 및 수행 자신감 : 융복합적 접근 (The Knowledge and Confidence in Performance on Patient Safety among Health-Related Majors : Convergent Approach)

  • 이미향;박정희;배석환
    • 디지털융복합연구
    • /
    • 제17권1호
    • /
    • pp.219-227
    • /
    • 2019
  • 본 연구는 보건계열 학생을 대상으로 환자안전 지식과 환자안전 수행자신감을 파악하기 위해 수행되었다. 보건계열학생 349명이 참여하였고, 자료분석은 SPSS 21.0을 이용하여 분석하였다. 연구결과 환자안전지식 정답률은 평균 65.7%였다. 환자안전 수행자신감은 평균 $7.11{\pm}1.74$점이었으며 문항별로 살펴보면 환자확인이 높았으며 효과적 의사소통이 낮게 나타났다. 환자안전지식과 환자안전 수행자신감의 하부영역인 환자확인, 의사소통, 수술시술, 낙상, 환자안전사고보고는 양의 상관관계였고, 환자안전지식과 감염관리, 시설환경은 음의 상관관계였다. 보건계열학생들에게 임상실습 전 환자안전에 대한 중요성을 높이고 안전한 임상실습이 수행될 수 있도록 환자안전교육프로그램을 개발하는 것이 필요하다.

간호사의 그릿, 건강지각이 건강증진행위에 미치는 영향: 자기효능감의 매개효과 (The Effect of Nurse's Grit, Health Perception on Health Promotion Behaviors: The Mediating effect of Self-efficiency)

  • 박정희;김남이
    • 디지털융복합연구
    • /
    • 제18권12호
    • /
    • pp.325-333
    • /
    • 2020
  • 이 연구는 대학병원에 근무하는 간호사를 대상으로 그릿, 건강지각과 건강증진행위의 관계에서 자기효능감의 매개효과를 파악하고 건강증진행위를 향상시키는데 기초자료를 제공하기 위해 시도되었다. D소재 일개 대학병원 간호사 242명을 대상으로 구조화된 설문지를 이용하여 자료수집하였다. 건강증진행위는 그릿(r=.29, p=<.001), 건강지각(r=.33, p=<.001), 자기효능감(r=.40, p=<.001)과 양의 상관관계를 나타냈으며 통계적으로 유의하였다. 그릿이 건강증진행위에 미치는 영향에 있어서 자기효능감이 완전매개효과(Z=4.41, p<.001)가 있는 것으로 나타났으며 건강지각이 건강증진행위에 미치는 영향에 있어서 자기효능감이 부분매개효과(Z=3.36, p<.001)가 있는 것으로 나타났다. 이에 따라 간호사의 그릿, 자기효능감, 건강지각에 영향을 미치는 요인을 확인하여 건강증진 행위를 향상시키는 중재방안을 마련해야 할 것이다.

의사와 간호사의 환자안전교육 경험에 관한 포커스 그룹 연구 (Focus Group Study on Health Care Professionals' Experience of Patient Safety Education)

  • 박정윤;이유라;이의선;이재호
    • 한국의료질향상학회지
    • /
    • 제26권2호
    • /
    • pp.56-65
    • /
    • 2020
  • Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

항공종사자 건강관리 제도의 발전방안 (Development Plan of Licence Holders Health Management System)

  • 한복순;권영환;김수근;최은희;장정순;신윤영;하윤
    • 항공우주의학회지
    • /
    • 제29권2호
    • /
    • pp.67-71
    • /
    • 2019
  • The health of licence holders (flight crew members and air traffic controllers) is recognized as an important element of aviation safety. The medical emergency symptoms that occur during the flight duty period without prior notice can interfere with human performance capabilities and threaten aviation safety. To prevent this, ICAO has been required to conduct a periodic medical assessment process of licence holders including routine analysis of in-flight incapacitation events and medical findings during medical to identify areas of increased medical risk and continuous reevaluation of the medical assessment process to concentrate on identified areas of increased medical risk. The supply and demand of licence holders have become a major issue due to the increase in air traffic around the world, and the pilot retirement age has been extended to 65 years. But, there is no significant change in the aviation medical assessments process. The follow up of the result of medical examination discovered through aviation medical examination is a very important part, but it has not been properly implemented, and the sick leaves and medical inflight incapacitation reporting system should be improved. The management of health risk factors for licence holders must be implemented to prevent aircraft accidents or aviation safety problems caused by health problems. In this paper, we propose the development plan and concrete improvement plan of the health risk management system of licence holders in Korea in terms of aviation safety.

Basic Survey on the Knowledge, Performance, Confidence, and Attitude for CPR Education Proposal for Inactive Nurse

  • Park, Jung-Ha
    • International Journal of Advanced Culture Technology
    • /
    • 제10권1호
    • /
    • pp.187-195
    • /
    • 2022
  • Since most of the first witnesses of cardiac arrest in clinical settings are nurses, the ability to perform CPR is important. The purpose of this study is to provide basic data for developing education that strengthens CPR performance in the future by examining inactive nurses' CPR knowledge, attitude, performance confidence, device discomfort, continued use intention, and educational achievement. The final subjects of this study were 88 inactive nurses residing in B city. The study period was from June 23, 2020 to December 24, 2020. The collected data were analyzed by descriptive statistics and Pearson correlation using SPSS WIN 24.0 program. After obtaining the subject's consent for the study, an inactive nurse who understood the purpose of the study and voluntarily consented to the study participated. To investigate the perception of experience, the subjects watched 360-degree virtual reality contents about CPR in the hospital using HMD. The data of this study were analyzed using SPSS WIN 22.0.program. As a result of this 360-degree study on CPR in the hospital, the average score for the inactive nurses on CPR knowledge was 12.70±3.43, the average score for performance confidence was 6.04±2.45, and the average score for attitude was 4.63±0.80. As a result of experience recognition of 360-degree virtual reality contents for CPR in hospitals, the average score for device discomfort was 4.01±0.94, the average score for continued use intention was 2.07±0.85, and the average score for educational achievement was 2.11±0.79. As a result of correlation analysis, educational achievement and continued use intention were significantly positively correlated (r=.77, p<.001). Based on the results of this study, in order to strengthen the CPR performance capability of inactive nurses in emergency situations, it is necessary to increase CPR knowledge and confidence in performing CPR, and to cultivate a positive attitude toward performing CPR. In addition, it is necessary to implement CPR simulation education based on patient cases by applying content that considers educational achievement and continuous use intention.

방울양배추 추출물의 염증성 사이토카인 억제에 미치는 영향 (Effect of Brussels Sprouts Extract on Inflammatory Cytokine Inhibition)

  • 이재혁;박정숙
    • 산업융합연구
    • /
    • 제21권8호
    • /
    • pp.69-74
    • /
    • 2023
  • 본 논문은 Brussels Sprouts Extract의 염증성사이토카인의 억제에 미치는 영향을 살펴보기 위하여 진행되었다. 염증반응은 활성산소와 같은 매개인자와 염증성 사이토카인인 TNF-α나 IL-1β, IL-8에 의해 나타난다. 이에 본 논문은 MTS assay를 이용하여 세포에 대한 생존율을 살펴보고, RAW264.7 대식세포에 lipopolysaccharide (LPS) 자극에 의해 생성된 NO와 TNF-α나 IL-1β, IL-8과 같은 염증성 사이토카인에 대한 억제를 살펴보았다. Brussels Sprouts Extract 10mg/mL, 100mg/mL, 1000mg/mL 농도로 처리 후 억제 정도를 살펴본 결과, Brussels Sprouts Extract은 세포 독성 없이 NO생성과 TNF-α, IL-8을 농도 의존적으로 억제하였으며, 특히 1000mg/mL 농도에서는 유의한 억제를 보였다. 염증성 사이토카인의 생성을 저해한 Brussels Sprouts Extract은 염증반응 감소와 염증조절의 가능성을 시사하고 건강기능성 식품이나 염증 예방 및 치료제로서 잠재력을 제공한다고 볼 수 있다.

저체중출생아를 위한 가정간호형 모성역할중재 프로그램 개발과 그 효과에 대한 연구 (Development of a Home-based Nursing Intervention, Mothering Program for Low-Birth-Weight Infants)

  • 한경자
    • 가정∙방문간호학회지
    • /
    • 제8권1호
    • /
    • pp.5-24
    • /
    • 2001
  • The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

  • PDF

1개 종합병원 환자의 낙상에 관한 조사 (A Study on Fall Accident)

  • 이현숙;김매자
    • 대한간호
    • /
    • 제36권5호
    • /
    • pp.45-62
    • /
    • 1998
  • The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis, spss/pc+ program was utilized for descriptive statistics, adjusted standardized $X^2$-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245(59.5%) were men and 167(40.5%) were women. Age were 0-14 years 79(19.2%), 15-44 years 125(30.4%), 45-64 years 104(25.2%), over 65 years 104(25.2%). 2) There was significant association between age and the sexes ($X^2$=39.17, P=0.00). 3) There was significant association between age and history of falls ($X^2$=44.41. P= .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis ($X^2$=140.66, P= .00), chief medical diagnosis were hypertension(34), diabetis mellitus(22), arthritis(11), stroke(8), fracture(7), pulmonary tuberculosis(6), dementia(5) and cataract(5), 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives , antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness ($X^2$=2.87, P=.41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips(35.2%), trips (9.5%) and collision(4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1pm to 6pm and 7am to 12am. 9) The places of fall accident were roads(22.6%), house-stairs 06.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows(10.9%), hospital(7.5%), ice or snowy ways(5.8%), bathroom(4.9%), playground, park(4.9%), subway-stairs(4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking(37.6%), turning around or reaching for something(20.9%), going up or down stairs09.2%), exereise, working07.4%), up or down from a bed(2.7%), using wheelchair or walking aids, standing up or down from a chair(2.2%) and standing still(2.2%). 11) Anatomical locations of injuries by falls were head, face, neck(31.3%), lower extremities (29.9%). upper extremities(20.6%), spine, thorax, abdomen or pelvic contents(l1.4%) and unspecified(2.9%). 12) Types of injures were fracture(47.6%), bruises03.8%), laceration (13.3%), sprains(9.0%), headache(6.6%), abrasions(2.9%), intracranial hemorrage(2.4%) and burns(0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers(1.46%) died from fall injuries. The two fallers died from intracranial hemorrage and the four fallers died of secondary infection; pneumonia(2), sepsis(1) and cell lulitis(1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention.

  • PDF

고혈압·당뇨병 신규 환자 발견 이후 지역사회 협력을 통한 등록관리가 치료순응도 및 혈압 및 혈당 조절에 미치는 영향 (Impact of Registration Program after Hypertensive or Diabetic Patient Detection through Community Partnership on Compliance and Blood Pressure or Blood Sugar Control)

  • 홍두호;서화정;강경희;김은주;임정수;오대규;임준
    • 농촌의학ㆍ지역보건
    • /
    • 제33권3호
    • /
    • pp.316-323
    • /
    • 2008
  • = ABSTRACT = Objectives : Incheon metropolitan city has set a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005. This study examines the effects of the model on the compliance and the control of blood pressure or blood sugar level Methods : Telephone-surveys were done for 140 persons selected from 408 patients who were detected newly as hypertensive or diabetic patients at Gangwha-Gun and Seo-Gu in Incheon between January 1st and August 31th in 2006, and finally completed in 110 patients(78.6%). Survey questionnaires included socio-demographic(age, gender, and educational level), health behavioral (smoking, drinking, physical activity, and diet), and therapy-related (registration state, compliance, blood pressure or blood sugar control) variables. Odds ratio and 95% CI were derived from logistic regression model. Results : Registered group exhibited high compliance and well managed blood pressure or blood sugar level. The odds ratio of registration were 5.55(95% CI:1.83~16.89) for compliance and 3.78(95% CI:1.43~9.99) for blood pressure or blood sugar control after adjusting for age, gender, disease, and area Conclusions : It is independently related to compliance and blood pressure or blood sugar control whether the patient is registered or not. To control hypertension or diabetes mellitus in terms of compliance and control state, a community-based registration program through community partnership could be a powerful tool.